Individual provider Active NPI

Kevin Frank Bienko, PHARMD

  • Pharmacist
  • Buffalo, NY
National Provider Identifier
1285302315
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
068077 Issued in NY
Practice address
345 Amherst St
Buffalo, NY 14207-2809
Phone
(716) 515-2190
Fax
(715) 515-2400
NPI assigned
Sep 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 068077 NY Primary

Addresses

Primary practice location

345 Amherst St
Buffalo, NY 14207-2809

Mailing address

98 Lowell Rd
Kenmore, NY 14217-1204
Phone (716) 352-1872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
068077NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1285302315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 LOWELL RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171204",
            "telephone_number": "716-352-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 AMHERST ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142072809",
            "telephone_number": "716-515-2190",
            "fax_number": "715-515-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENKO",
        "first_name": "KEVIN",
        "middle_name": "FRANK",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "068077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.